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NPI Code Detail

MEDICARE: DR. DEVESH JALAN MD

MEDICARE: DR. DEVESH JALAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician316248NY
22084P0800XPsychiatry PhysicianA167754CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083092134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEVESH JALAN MD
Provider Business Mailing Address
First Line : 30 TARA LN
Second Line :
City : MONTVILLE
State : NJ
Zip : 07045-9698
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 385 5TH AVE RM 1106
Second Line :
City : NEW YORK
State : NY
Zip : 10016-3340
Country : US
Telephone Number : 917-391-0076
Fax Number : 917-477-8649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2015
Last Update Date : 08/24/2023

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